Lab & pathology prices at White Mountain Regional Medical Center
Springerville, AZ · every code in this section with a posted price and a Medicare benchmark.
560 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 5 Hiaa (83497) | $52.96 | $92.90 | 4.1× |
| 5 Nucleotidase (83915) | $39.67 | $69.60 | 3.6× |
| Acetaminophen level (80143) | $10.62 | $18.64 | 0.6× |
| Activated protein c resistance (85307) | $87.10 | $152.81 | 5.7× |
| Acute hepatitis panel (80074) | $224.01 | $393 | 4.7× |
| Agglutinins febrile (86000) | $58.05 | $101.85 | 8.3× |
| Albumin Fluid (82042) | $27.71 | $48.62 | 3.6× |
| Albumin serum (82040) | $30.56 | $53.61 | 6.2× |
| Aldolase (82085) | $42.18 | $74 | 4.3× |
| Aldosterone urine (82088) | $121.98 | $214 | 3.0× |
| Alkaline phosphatase isoenzymes (84080) | $54.91 | $96.34 | 3.7× |
| Allerg sp igg quan or semiquan (86001) | $22.28 | $39.09 | 2.8× |
| Allergen specific ige (86003) | $22.42 | $39.34 | 4.3× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $36.78 | $64.53 | 4.6× |
| Alpha-1-antitrypsin phenotype (82104) | $59.85 | $105 | 4.1× |
| Alpha-1-antitrypsin, total (82103) | $61.56 | $108 | 4.6× |
| Alpha-fetoprotein amniotic (82106) | $58.89 | $103.31 | 3.5× |
| Alpha-fetoprotein, serum (82105) | $81.51 | $143 | 4.9× |
| Alt (sgpt) (84460) | $37.71 | $66.15 | 7.1× |
| Aluminum (82108) | $49.59 | $87 | 1.9× |
| Amikacin trough (80150) | $62.13 | $109 | 4.1× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $119.70 | $210 | 7.1× |
| Amino Acids Quant 2-5 (82136) | $195.24 | $342.53 | 10.0× |
| Amino Acids, Single Quantitation (82131) | $86.78 | $152.24 | 3.8× |
| Ammonia (82140) | $78.74 | $138.14 | 5.4× |
| Amniotic fluid enzyme test (84081) | $61.99 | $108.75 | 3.8× |
| Amylase urine (82150) | $54.28 | $95.22 | 8.4× |
| Angiotensin i enzyme test (82164) | $66.12 | $116 | 4.5× |
| Antibody aspergillus (86606) | $37.35 | $65.53 | 2.5× |
| Antibody coxiella burnetii q fever (86638) | $37.12 | $65.12 | 3.1× |
| Antibody cytomegalovirus cmv (86644) | $174.62 | $306.35 | 12.1× |
| Antibody cytomegalovirus cmv igm (86645) | $72.22 | $126.70 | 4.3× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $50.16 | $88 | 3.8× |
| Antibody helicobacter pylori (86677) | $82.12 | $144.08 | 4.9× |
| Antibody herpes smplx type 1 (86695) | $51.23 | $89.88 | 3.9× |
| Antibody identification (86870) | $173.80 | $304.91 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $75.92 | $133.20 | 5.0× |
| Antibody mumps (86735) | $54.92 | $96.35 | 4.2× |
| Antibody Protozoa Nes (86753) | $48.92 | $85.83 | 3.9× |
| Antibody rubeola (86765) | $55.82 | $97.93 | 4.3× |
| Antibody screen (86850) | $68.21 | $119.67 | 7.0× |
| Antibody treponema pallidum (86780) | $46.06 | $80.80 | 3.5× |
| Antibody; Coccidioides (86635) | $43.54 | $76.38 | 3.8× |
| Antigen typing (86905) | $42.74 | $74.98 | 11.2× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $68.25 | $119.74 | 13.2× |
| Antinuclear antibodies (86038) | $68.38 | $119.97 | 5.7× |
| Antistreptolysin o titer (86060) | $44.02 | $77.22 | 6.0× |
| Antithrombin iii activity (85300) | $134.42 | $235.84 | 11.3× |
| Antithrombin iii antigen (85301) | $74.24 | $130.24 | 6.9× |
| Aortic dysfunction/dilation dup/del analysis (81411) | $769.61 | $1,350.19 | 0.6× |
| Aortic dysfunction/dilation genomic seq analysis (81410) | $287.28 | $504 | 0.6× |
| Apolipoprotein b (82172) | $49.71 | $87.21 | 2.4× |
| Arsenic Urine (82175) | $55.86 | $98 | 2.9× |
| Assay direct measurement free estradiol (82681) | $15.93 | $27.94 | 0.6× |
| Assay Lipoprotein Pla2 (83698) | $66.12 | $116 | 1.4× |
| Assay Nephelometry Not Spec (83883) | $62.70 | $110 | 4.6× |
| Assay of 17-hydroxypregnenolone (84143) | $97.47 | $171 | 4.3× |
| Assay of acth (82024) | $128.52 | $225.47 | 3.3× |
| Assay of androstenedione (82157) | $91.77 | $161 | 3.1× |
| Assay of blood chloride (82435) | $29.59 | $51.91 | 6.4× |
| Assay of c-peptide (84681) | $79.20 | $138.95 | 3.8× |
| Assay of calcitonin (82308) | $79.34 | $139.19 | 3.0× |
| Assay of ceruloplasmin (82390) | $51.66 | $90.63 | 4.8× |
| Assay of corticosterone (82528) | $12.84 | $22.52 | 0.6× |
| Assay of creatine (82540) | $26.22 | $46 | 5.7× |
| Assay of cyclosporine (80158) | $96.05 | $168.50 | 5.3× |
| Assay of erythropoietin (82668) | $76.27 | $133.80 | 4.1× |
| Assay of ethosuximide (80168) | $46.74 | $82 | 2.9× |
| Assay of ferritin (82728) | $79.23 | $139 | 5.8× |
| Assay of g6pd enzyme (82955) | $44.46 | $78 | 4.6× |
| Assay of gammaglobulin igm (82784) | $50.31 | $88.26 | 5.4× |
| Assay of gastrin (82941) | $67.83 | $119 | 3.8× |
| Assay of gentamicin (80170) | $92.91 | $163 | 5.7× |
| Assay of homocystine (83090) | $89.49 | $157 | 5.0× |
| Assay of homovanillic acid (83150) | $67.63 | $118.65 | 3.0× |
| Assay of lipoprotein(a) (83695) | $47.88 | $84 | 3.3× |
| Assay of manganese (83785) | $58.27 | $102.23 | 2.2× |
| Assay of metanephrines (83835) | $89.62 | $157.23 | 5.3× |
| Assay of osteocalcin (83937) | $74.10 | $130 | 2.5× |
| Assay of parathormone (83970) | $150.20 | $263.50 | 3.6× |
| Assay of phenobarbital (80184) | $68.20 | $119.65 | 4.5× |
| Assay of prealbumin (84134) | $68.97 | $121 | 4.7× |
| Assay of proinsulin (84206) | $77.27 | $135.57 | 2.9× |
| Assay of selenium (84255) | $68.97 | $121 | 2.7× |
| Assay of serotonin (84260) | $121.71 | $213.53 | 3.9× |
| Assay of somatomedin (84305) | $80.82 | $141.78 | 3.8× |
| Assay of tacrolimus (80197) | $102.03 | $179 | 7.4× |
| Assay of urine vma (84585) | $93.16 | $163.44 | 6.0× |
| Assay of vitamin k (84597) | $90.94 | $159.54 | 6.6× |
| Assay Ph Body Fluid Nos (83986) | $27.93 | $49 | 7.8× |
| Ast (sgot) (84450) | $72.76 | $127.66 | 14.0× |
| Automated rbc count (85041) | $17.11 | $30.02 | 5.7× |
| Bartonella antibody (86611) | $35.07 | $61.53 | 3.4× |
| Bcr/abl1 gene major bp (81206) | $326.04 | $572 | 2.0× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $61.04 | $107.09 | 2.4× |
| Beta hydroxybutyrate (82010) | $49.59 | $87 | 6.1× |
| Beta-2 microglobulin (82232) | $68.40 | $120 | 4.2× |
| Bile acids, total (82239) | $55.29 | $97 | 3.2× |
| Bilirubin direct (82248) | $33.16 | $58.18 | 6.6× |
| Bilirubin total (82247) | $33.06 | $58 | 6.6× |
| Bl Smear W/Diff Wbc Count (85007) | $26.72 | $46.88 | 7.0× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $127.87 | $224.34 | 0.7× |
| Bleeding time (85002) | $44.01 | $77.21 | 9.1× |
| Blood count reticulocyte automated (85045) | $36.48 | $64 | 9.1× |
| Blood gases (82803) | $149.91 | $263 | 5.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $44.46 | $78 | 2.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $22.27 | $39.06 | 5.1× |
| Blood Ph - Ph Venous (82800) | $48.45 | $85 | 4.4× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $148.28 | $260.14 | 23.4× |
| Blood typing abo (86900) | $36.16 | $63.43 | 12.1× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $53.32 | $93.54 | 3.3× |
| Blood typing serologic rh (d) (86901) | $35.30 | $61.93 | 11.8× |
| Body fluid cell count (89051) | $65.89 | $115.60 | 11.8× |
| Body fluid cell count (89050) | $51.67 | $90.65 | 10.9× |
| Bone Marrow Smear Interpretation (85097) | $124.15 | $217.80 | 0.1× |
| Bordetella antibody (86615) | $80.84 | $141.82 | 6.1× |
| Brca1&2 seq & full dup/del (81162) | $1,720.20 | $3,017.90 | 0.9× |
| Breath Alcohol Test (82075) | $48.45 | $85 | 1.6× |
| Brucella antibody (86622) | $37.21 | $65.28 | 4.2× |
| C diff amplified probe (87493) | $107.47 | $188.54 | 2.9× |
| C-reactive protein (86140) | $50.17 | $88.01 | 9.7× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $66.60 | $116.85 | 5.1× |
| C1q binding assay (86332) | $174.76 | $306.60 | 7.2× |
| Ca 125 (86304) | $103.11 | $180.90 | 5.0× |
| Ca 19-9 (86301) | $90.22 | $158.28 | 4.3× |
| Ca 27 29 (86300) | $91.56 | $160.63 | 4.4× |
| Cadmium level (82300) | $50.73 | $89 | 2.1× |
| Calcium ionized (82330) | $71.18 | $124.87 | 5.2× |
| Calcium total (82310) | $30.48 | $53.48 | 5.9× |
| Calcium urine (82340) | $35.34 | $62 | 5.9× |
| Calculus Quantitative Chemical (82360) | $65.45 | $114.82 | 5.1× |
| Calculus Spectroscopy (82365) | $57 | $100 | 4.4× |
| Calprotectin, fecal (83993) | $136.23 | $239 | 6.9× |
| Calr gene com variants (81219) | $211.50 | $371.06 | 1.7× |
| Candida antibody (86628) | $79.53 | $139.53 | 6.6× |
| Candida DNA dir probe (87480) | $155.09 | $272.08 | 7.7× |
| Carb deficient transferrin (82373) | $70.11 | $123 | 3.9× |
| Carbamazepine (tegretol) total (80156) | $84.93 | $149 | 5.8× |
| Carbamazepine free (80157) | $47.88 | $84 | 3.6× |
| Carbon dioxide (82374) | $25.03 | $43.91 | 5.1× |
| Carboxyhemoglobin Quantitative (82375) | $67.83 | $119 | 5.5× |
| Carcinoembryonic antigen (82378) | $104.31 | $183 | 5.5× |
| Cardiolipin ab igg (86147) | $97.92 | $171.80 | 3.8× |
| Carnitine (82379) | $72.50 | $127.20 | 4.3× |
| Carotene (82380) | $36.51 | $64.06 | 4.0× |
| Catecholamines fraction plasma (82384) | $89.66 | $157.30 | 3.6× |
| Cd4 absolute count (86361) | $89.49 | $157 | 3.3× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $219.18 | $384.53 | 1.6× |
| Cftr gene com variants (81220) | $470.25 | $825 | 0.8× |
| Chemiluminescent assay (82397) | $78.09 | $137 | 5.5× |
| Chlamydia antibody (86631) | $48.26 | $84.66 | 4.1× |
| Chlamydia Igm Antibody (86632) | $31.57 | $55.38 | 2.5× |
| Chloride other source (82438) | $34.77 | $61 | 7.0× |
| Chloride urine (82436) | $34.09 | $59.80 | 5.9× |
| Chlorinated hydrocarbons screen (82441) | $57.02 | $100.04 | 9.5× |
| Cholesterol total (82465) | $30.78 | $54 | 7.1× |
| Cholinesterase rbc (82482) | $34.01 | $59.67 | 3.5× |
| Chrom count break 50-100/20/2 (88248) | $84.30 | $147.90 | 0.5× |
| Chromium urine (82495) | $60.71 | $106.50 | 3.0× |
| Chromogranin a (86316) | $78.10 | $137.01 | 3.8× |
| Chromosome analysis of amniotic fluid or placenta for genetic defects (88267) | $399.19 | $700.34 | 2.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $97.40 | $170.87 | 2.8× |
| Citrate (82507) | $74 | $129.84 | 2.7× |
| Ck isoenzymes (82552) | $48.35 | $84.82 | 3.6× |
| Ckmb (82553) | $87.78 | $154 | 7.6× |
| Clot factor viii vw antigen (85246) | $101.11 | $177.39 | 4.4× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $97.32 | $170.73 | 5.4× |
| Clozapine level (80159) | $50.07 | $87.85 | 2.5× |
| Cmv PCR (87496) | $168.52 | $295.64 | 4.8× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $94.62 | $166 | 3.9× |
| Cold agglutinin titer (86157) | $47.08 | $82.60 | 5.8× |
| Collagen cross links (82523) | $78.09 | $137 | 4.2× |
| Compatibility test antiglob (86922) | $94.14 | $165.16 | 0.5× |
| Compatibility Test Incubate (86921) | $48.64 | $85.33 | 0.3× |
| Complement c3 (86160) | $71.39 | $125.25 | 5.9× |
| Complement total ch50 (86162) | $93.92 | $164.78 | 4.6× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $58.78 | $103.12 | 4.9× |
| Concentration Infectious Agent (87015) | $81.58 | $143.12 | 12.2× |
| Coombs direct (86880) | $45.51 | $79.85 | 8.4× |
| Copper urine (82525) | $52.44 | $92 | 4.2× |
| Cortisol free (82530) | $67.72 | $118.82 | 4.1× |
| Cortisol total (82533) | $90.63 | $159 | 5.6× |
| Creatine kinase total (82550) | $46.48 | $81.54 | 7.1× |
| Creatinine blood (82565) | $35.34 | $62 | 6.9× |
| Creatinine clearance (82575) | $66.49 | $116.65 | 7.0× |
| Creatinine other source (82570) | $38.76 | $68 | 7.5× |
| Crossmatch immediate spin (86920) | $89.51 | $157.03 | 0.5× |
| Cryoglobulin (82595) | $33.82 | $59.33 | 5.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $53.80 | $94.38 | 6.7× |
| Culture Aerobic Identify (87077) | $48.12 | $84.42 | 6.0× |
| Culture anaerobic (87075) | $96.30 | $168.95 | 10.2× |
| Culture blood (87040) | $105.63 | $185.31 | 10.2× |
| Culture chlamydia (87110) | $79.25 | $139.03 | 4.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $53.24 | $93.41 | 6.9× |
| Culture fungus other (87102) | $85.02 | $149.16 | 10.1× |
| Culture genital (87070) | $77.99 | $136.83 | 9.0× |
| Culture screen only (87081) | $53.54 | $93.93 | 8.1× |
| Culture stool (87045) | $70.11 | $123 | 7.4× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $124.29 | $218.06 | 0.6× |
| Culture urine (87086) | $63.22 | $110.92 | 7.8× |
| Culture urine id ea isolate (87088) | $48.52 | $85.12 | 6.0× |
| Cyclic amp (82030) | $58.27 | $102.23 | 2.3× |
| Cyclic Citrullinated Peptide (86200) | $62.88 | $110.32 | 4.9× |
| Cyp2c19 gene com variants (81225) | $400.08 | $701.90 | 1.4× |
| Cyp2d6 gene com variants (81226) | $257.02 | $450.91 | 0.6× |
| Cyp3a4 (81230) | $99.64 | $174.81 | 0.6× |
| Cystatin c (82610) | $58.28 | $102.25 | 3.1× |
| Cytogenetics DNA probe (88271) | $201.68 | $353.83 | 9.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,479.15 | $2,595 | 1.3× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $198.64 | $348.49 | 4.6× |
| Cytopath cell enhance tech (88112) | $113.75 | $199.56 | 2.0× |
| Cytopath Fl Nongyn Filter (88106) | $96.33 | $169 | 3.1× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $77.24 | $135.52 | 1.9× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $76.56 | $134.31 | 2.9× |
| Cytp concentration smears & interpretation (88108) | $95.64 | $167.79 | 2.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $139.97 | $245.56 | 2.5× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $41.38 | $72.59 | 2.2× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) | $105.90 | $185.79 | 1.9× |
| D-Dimer (85379) | $94.34 | $165.50 | 9.3× |
| Desoxycorticosterone (82633) | $17.66 | $30.98 | 0.6× |
| Detect agent nos DNA dir (87797) | $105.13 | $184.43 | 3.5× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $64.01 | $112.29 | 3.9× |
| Dhea (82626) | $86.26 | $151.34 | 3.4× |
| Dhea sulfate (82627) | $80.84 | $141.82 | 3.6× |
| Digoxin (80162) | $78.09 | $137 | 5.9× |
| Dihydrotestosterone (82642) | $50.73 | $89 | 1.7× |
| Dilantin (80185) | $82.08 | $144 | 6.2× |
| Dipropylacetic acid free (80165) | $56.43 | $99 | 4.2× |
| Dna Antibody Single Stranded (86226) | $69.05 | $121.14 | 5.7× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $350.56 | $615.01 | 25.5× |
| Drug test prsmv chem anlyzr (80307) | $183.81 | $322.47 | 3.0× |
| Drug Test Prsmv Dir Opt Obs (80305) | $40.56 | $71.15 | 3.2× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $107.73 | $189 | 6.3× |
| Ebv viral capsid (86665) | $68.25 | $119.74 | 3.8× |
| Echinococcus ab igg (86682) | $64.25 | $112.72 | 4.9× |
| Electrolyte panel (80051) | $53.92 | $94.59 | 7.7× |
| Endomysial antibody iga (86255) | $124.54 | $218.50 | 10.3× |
| Enterovirus antibody (86658) | $142.70 | $250.35 | 11.0× |
| Enzyme cell activity (82657) | $145.92 | $256 | 6.6× |
| Eosinophil count (85048) | $25.02 | $43.90 | 9.9× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $48.72 | $85.47 | 3.2× |
| Estradiol (82670) | $110.80 | $194.39 | 4.0× |
| Estriol (82677) | $53.01 | $93 | 2.2× |
| Estrogens total (82672) | $77.52 | $136 | 3.6× |
| Estrone (82679) | $64.41 | $113 | 2.6× |
| Ethylene glycol (82693) | $91.77 | $161 | 6.2× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $49.02 | $86 | 6.7× |
| F2 gene analysis 20210g >a variant (81240) | $153.52 | $269.33 | 2.3× |
| F5 gene (81241) | $161.88 | $284 | 2.2× |
| Factor ii activity (85210) | $97.94 | $171.82 | 7.5× |
| Factor ix activity (85250) | $104.13 | $182.69 | 5.5× |
| Factor v activity (85220) | $113.64 | $199.38 | 6.4× |
| Factor vii assay (85230) | $100 | $175.44 | 5.6× |
| Factor viii ahg (85240) | $109.02 | $191.26 | 6.1× |
| Factor viii vw multimetric (85247) | $119.72 | $210.04 | 5.2× |
| Factor xii assay (85280) | $105.79 | $185.60 | 5.5× |
| Factor xiii solubility screen (85291) | $67.25 | $117.98 | 7.4× |
| Fecal fat quant (82710) | $69.54 | $122 | 4.1× |
| Fetal chrmoml aneuploidy (81420) | $591.09 | $1,037 | 0.8× |
| Fetal fibronectin (82731) | $249.80 | $438.25 | 3.9× |
| Fibrinogen activity (85384) | $72.17 | $126.61 | 7.4× |
| Fibrinogen antigen (85385) | $54.55 | $95.70 | 3.8× |
| Flow cytometry first marker (88184) | $320.84 | $562.88 | 0.8× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $193.14 | $338.85 | 16.0× |
| Fmr1 gene detection (81243) | $161.46 | $283.27 | 2.8× |
| Folate serum (82746) | $76.95 | $135 | 5.2× |
| Folic acid rbc (82747) | $63.84 | $112 | 3.6× |
| Follicle Stimulating Hormone (83001) | $87.38 | $153.30 | 4.7× |
| Fructosamine (82985) | $44.86 | $78.71 | 2.7× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $54.19 | $95.07 | 5.3× |
| Gammaglobulin ige (82785) | $64.41 | $113 | 3.9× |
| Gastric Occult Blood (82271) | $29.07 | $51 | 5.5× |
| Ggt (82977) | $43.89 | $77 | 6.1× |
| Giardia antigen eia stool (87329) | $55.62 | $97.58 | 4.6× |
| Gliadin antibody each immunoglobulin class (86258) | $13.44 | $23.58 | 1.1× |
| Glucose (82947) | $29.64 | $52 | 7.5× |
| Glucose Blood Test (82962) | $20.09 | $35.25 | 6.1× |
| Glucose body fluid (82945) | $42.18 | $74 | 10.7× |
| Glucose post dose (82950) | $44.46 | $78 | 9.4× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $20.88 | $36.63 | 5.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $68.97 | $121 | 5.4× |
| Glycosylated hb home device (83037) | $8.73 | $15.32 | 0.9× |
| Gonadotropin releasing hormone (83727) | $9.80 | $17.19 | 0.6× |
| Growth hormone (83003) | $57 | $100 | 3.4× |
| Haptoglobin (83010) | $63.14 | $110.78 | 5.0× |
| Hba1/hba2 gene (81257) | $345.42 | $606 | 3.4× |
| Hcg qualitative (84703) | $68.25 | $119.74 | 9.1× |
| Hcg quant (84702) | $109.26 | $191.69 | 7.3× |
| Hdl Cholesterol (83718) | $41.61 | $73 | 5.1× |
| Heavy metal quant each (83018) | $71.82 | $126 | 3.3× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $83.22 | $146 | 4.0× |
| Hematocrit (85014) | $21.06 | $36.96 | 8.9× |
| Hemoglobin (85018) | $23.27 | $40.83 | 9.8× |
| Hemoglobin a1c (83036) | $57 | $100 | 5.9× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $47.87 | $83.98 | 2.7× |
| Hemoglobin electrophoresis (83020) | $67.26 | $118 | 5.2× |
| Hemosiderin urine (83070) | $26.35 | $46.23 | 5.5× |
| Heparin assay (85520) | $99.01 | $173.70 | 7.6× |
| Hepatitis a antibody total (86708) | $51.30 | $90 | 4.1× |
| Hepatitis a igm (86709) | $65.89 | $115.60 | 5.9× |
| Hepatitis b core ab igm (86705) | $67.74 | $118.85 | 5.8× |
| Hepatitis b core antibody total (86704) | $60.99 | $107 | 5.1× |
| Hepatitis B Surface Ab (86706) | $112.57 | $197.48 | 10.5× |
| Hepatitis B Surface Antigen (87340) | $60.88 | $106.81 | 5.9× |
| Hepatitis be antibody (86707) | $51 | $89.47 | 4.4× |
| Hepatitis Be Antigen (87350) | $52.91 | $92.83 | 4.6× |
| Hepatitis c antibody (86803) | $78.54 | $137.78 | 5.5× |
| Hepatitis C Genotype (87902) | $449.14 | $787.96 | 1.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $167.36 | $293.61 | 4.8× |
| Herpes culture (87252) | $116.09 | $203.67 | 4.5× |
| Herpes simplex type 2 (86696) | $58.05 | $101.85 | 3.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $49.02 | $86 | 9.5× |
| Hfe gene (81256) | $197.22 | $346 | 3.0× |
| Histamine plasma (83088) | $102.63 | $180.05 | 3.5× |
| Histoplasma antibody (86698) | $39.90 | $70 | 2.9× |
| Histoplasma antigen urine (87385) | $101.45 | $177.99 | 7.7× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $74.61 | $130.90 | 5.4× |
| Hla b 27 disease association lc (81374) | $145.35 | $255 | 2.0× |
| Hla class i&ii antibody qual (86828) | $210.12 | $368.63 | 3.3× |
| Hla ii low resolution one antigen equivalent ea (81377) | $213.18 | $374 | 2.3× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $130.17 | $228.37 | 1.9× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $139.44 | $244.63 | 4.0× |
| Human epididymis protein 4 (86305) | $165.05 | $289.56 | 7.9× |
| Hydroxyprogesterone 17-d (83498) | $80.94 | $142 | 3.0× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $58.37 | $102.41 | 1.3× |
| Iaad ia clostridium difficile toxin (87324) | $77.32 | $135.65 | 6.5× |
| Iaad ia cryptosporidium (87328) | $58.53 | $102.68 | 4.2× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $72.14 | $126.56 | 3.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $88.72 | $155.65 | 6.2× |
| Iaad ia rotavirus (87425) | $81.07 | $142.22 | 6.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $38.78 | $68.04 | 1.1× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $47.95 | $84.13 | 4.0× |
| Iaadi respiratory synctial virus (87280) | $43.34 | $76.04 | 3.2× |
| Iaadiadoo not otherwise specified (87899) | $35.33 | $61.99 | 2.2× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $208.68 | $366.11 | 5.9× |
| Iadna candida species amplified probe tq (87481) | $156.43 | $274.44 | 4.5× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $69.31 | $121.60 | 3.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $100.04 | $175.50 | 1.4× |
| Iadna hepatitis b virus quantification (87517) | $194.56 | $341.33 | 4.5× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $235.32 | $412.84 | 5.5× |
| Iadna herpes virus-6 amplified probe tq (87532) | $133.36 | $233.96 | 3.8× |
| Iadna herpes virus-6 quantification (87533) | $251.94 | $442 | 6.0× |
| Iadna HIV-1 quant & reverse transcription (87536) | $258.43 | $453.39 | 3.0× |
| Iadna nos amplified probe tq each organism (87798) | $127.22 | $223.20 | 3.6× |
| Iadna nos quantification each organism (87799) | $200.20 | $351.22 | 4.7× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $503.34 | $883.06 | 14.3× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $526.86 | $924.32 | 1.3× |
| Igg subclasses (82787) | $39.67 | $69.60 | 4.9× |
| Immunfix e-phorsis/urine/csf (86335) | $245.95 | $431.49 | 8.4× |
| Immunoassay infectious agent antibody quan nos (86317) | $43.43 | $76.19 | 2.9× |
| Immunoassay nonantibody (83516) | $56.94 | $99.90 | 4.9× |
| Immunofixj Electrophoresis Serum (86334) | $220.04 | $386.04 | 9.8× |
| Immunofluorescent technique for pneumocystis carinii (87281) | $90.98 | $159.62 | 7.6× |
| Immunoglobulin light chains free each (83521) | $9.84 | $17.27 | 0.6× |
| Immunohistochemistry (88342) | $148.19 | $259.99 | 0.8× |
| India ink prep (87210) | $40.60 | $71.24 | 7.0× |
| Infectious agent enzymatic activity to detect organism (87905) | $41.04 | $72 | 3.4× |
| Influenza DNA amp probe (87502) | $176.19 | $309.10 | 1.8× |
| Inhibin a (86336) | $65.49 | $114.90 | 4.2× |
| Inhibin b (83520) | $82.26 | $144.31 | 4.8× |
| Insulin antibodies (86337) | $76.56 | $134.31 | 3.6× |
| Insulin free (83527) | $41.61 | $73 | 3.2× |
| Insulin total (83525) | $53.58 | $94 | 4.7× |
| Intrinsic factor antibody (86340) | $60.32 | $105.82 | 4.0× |
| Iron (83540) | $43.18 | $75.75 | 6.7× |
| Iron binding capacity (83550) | $50.73 | $89 | 5.8× |
| Irradiation of blood product (86945) | $72.72 | $127.58 | 1.8× |
| Islet cell antibody (86341) | $82 | $143.86 | 3.5× |
| Jak2 gene analysis (81270) | $270.47 | $474.50 | 3.0× |
| Koh Prep (87220) | $34.47 | $60.48 | 8.1× |
| L/s ratio, fetal lung (83661) | $98.93 | $173.57 | 4.5× |
| Lactic acid (83605) | $76.87 | $134.86 | 6.6× |
| Lactoferrin Fecal Quantitative (83631) | $100.80 | $176.84 | 5.1× |
| Ldh (83615) | $43.51 | $76.34 | 7.2× |
| Ldh isoenzymes (83625) | $46.74 | $82 | 3.7× |
| LDL cholesterol direct (83721) | $42.75 | $75 | 4.1× |
| Lead (83655) | $100.80 | $176.84 | 8.3× |
| Legionella antibody (86713) | $52.20 | $91.57 | 3.4× |
| Legionella antigen urine (87449) | $71 | $124.57 | 5.9× |
| Legionella pneumophila dfa (87278) | $68.80 | $120.71 | 4.4× |
| Leptospira antibody (86720) | $66.52 | $116.70 | 4.1× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $36.87 | $64.69 | 8.6× |
| Level ii surg pathology grossµscopic exam (88302) | $97.73 | $171.46 | 2.5× |
| Level v surg pathology grossµscopic exam (88307) | $259.07 | $454.50 | 0.7× |
| Level vi surg pathology grossµscopic exam (88309) | $331.94 | $582.35 | 0.4× |
| Lh (83002) | $89.49 | $157 | 4.8× |
| Lidocaine level (80176) | $50.45 | $88.50 | 3.4× |
| Lipase (83690) | $67.26 | $118 | 9.8× |
| Lipoprotein Bld Hr Fraction (83701) | $55.79 | $97.87 | 1.6× |
| Lithium (80178) | $51.02 | $89.50 | 7.7× |
| Lyme disease antibody (86618) | $84.73 | $148.65 | 5.0× |
| Macroscopic exam parasite (87169) | $26.15 | $45.88 | 6.1× |
| Magnesium (83735) | $51.39 | $90.15 | 7.7× |
| Malaria smear (87207) | $51.77 | $90.82 | 8.6× |
| Manual reticulocyte count (85044) | $37.48 | $65.76 | 8.7× |
| Mass spectrometry qual/quan (83789) | $88.48 | $155.24 | 3.7× |
| Measurement of complement fixation tests (immune system proteins) (86171) | $28.87 | $50.65 | 2.9× |
| Mercury (83825) | $48.52 | $85.12 | 3.0× |
| Methotrexate (80299) | $82.86 | $145.37 | 4.4× |
| Methylmalonic acid serum (83921) | $80.66 | $141.50 | 3.8× |
| Microalbumin urine (82043) | $43.69 | $76.65 | 7.6× |
| Microsomal antibodies (86376) | $65.72 | $115.30 | 4.5× |
| Molecular pathology procedure level 2 (81401) | $265.55 | $465.87 | 1.9× |
| Mononuclear cell antigen (86356) | $82.65 | $145 | 3.1× |
| Mopath procedure level 3 (81402) | $357.53 | $627.25 | 2.4× |
| Mopath procedure level 4 (81403) | $407.94 | $715.69 | 2.2× |
| Mopath procedure level 5 (81404) | $333.45 | $585 | 1.2× |
| Mrsa amp probe (87641) | $129.30 | $226.84 | 3.7× |
| Mthfr Gene Analysis Common Variants (81291) | $152.71 | $267.92 | 2.3× |
| Muramidase (85549) | $53.31 | $93.52 | 2.8× |
| Mycoplasma antibody (86738) | $50.21 | $88.09 | 3.8× |
| Mycoplasma culture (87109) | $89.44 | $156.91 | 5.8× |
| Myoglobin urine (83874) | $77.13 | $135.32 | 6.0× |
| N.gonorrhoeae, DNA, dir prob (87590) | $70.83 | $124.26 | 2.6× |
| Nasal smear for eosinophils (89190) | $29.13 | $51.11 | 5.0× |
| Natriuretic peptide (83880) | $145.35 | $255 | 3.7× |
| Neutralization test, viral (86382) | $68.46 | $120.10 | 4.0× |
| Niacin (84591) | $78.09 | $137 | 4.6× |
| Nmr Lipoprofile (83704) | $67.37 | $118.20 | 2.0× |
| Nuclear antigen antibody (86235) | $69.91 | $122.65 | 3.9× |
| Nudt15 Gene Analysis Common Variants (81306) | $166.08 | $291.36 | 0.6× |
| Oligoclonal bands (83916) | $75 | $131.58 | 2.7× |
| Organic Acids Qual Each (83919) | $74.67 | $131 | 4.5× |
| Osmolality serum (83930) | $51.87 | $91 | 7.8× |
| Osmolality urine (83935) | $51.30 | $90 | 7.5× |
| Ova and parasite direct-id lca (87177) | $61.98 | $108.73 | 7.0× |
| Oxalate urine (83945) | $44.31 | $77.74 | 3.1× |
| Pancreatic elastase fecal (82656) | $129.68 | $227.50 | 11.2× |
| Pancreatic polypeptide (83519) | $107.19 | $188.05 | 5.8× |
| Parvovirus antibody (86747) | $129.20 | $226.66 | 8.6× |
| Pertussis dfa (87265) | $48.97 | $85.91 | 4.1× |
| Phenylalanine (84030) | $54.55 | $95.70 | 9.9× |
| Phenytoin free (80186) | $56.34 | $98.85 | 4.1× |
| Phosphatase acid prostatic (84066) | $34.80 | $61.06 | 3.6× |
| Phosphatase alkaline (84075) | $30.21 | $53 | 5.8× |
| Phospholipid Neutralization Hexagonal (85598) | $538.66 | $945.01 | 30.0× |
| Phosphorus blood (84100) | $35.91 | $63 | 7.6× |
| Phosphorus urine (84105) | $26.22 | $46 | 4.5× |
| Platelet count (85049) | $373.76 | $655.72 | 83.4× |
| Potassium (84132) | $30.14 | $52.89 | 6.3× |
| Potassium urine (84133) | $34.25 | $60.08 | 7.2× |
| Pregnenolone (84140) | $68.40 | $120 | 3.3× |
| Procainamide napa (80192) | $66.33 | $116.36 | 4.0× |
| Procalcitonin (pct) (84145) | $130.53 | $229 | 4.8× |
| Progesterone (84144) | $83.36 | $146.25 | 4.0× |
| Prolactin (84146) | $96.90 | $170 | 5.0× |
| Protein body fluid (84157) | $45.52 | $79.86 | 11.4× |
| Protein c activity (85303) | $109.90 | $192.81 | 7.9× |
| Protein c antigen (85302) | $205.97 | $361.35 | 17.1× |
| Protein electrophoresis serum (84165) | $69.87 | $122.58 | 6.5× |
| Protein Electrophoresis Urine (84166) | $64.06 | $112.38 | 3.6× |
| Protein S Functional (85306) | $117.44 | $206.04 | 7.7× |
| Protein s total (85305) | $77.95 | $136.75 | 6.7× |
| Protein Total Serum (84155) | $27.36 | $48 | 7.5× |
| Protein urine (84156) | $38.92 | $68.28 | 10.6× |
| PSA free (84154) | $68.21 | $119.66 | 3.7× |
| Quantiferon tb gold (86480) | $134.93 | $236.72 | 2.2× |
| Quinidine (80194) | $53.31 | $93.52 | 3.7× |
| Rbc pretx incubatj w/chemicl (86970) | $55.79 | $97.87 | 0.9× |
| Reagent strip/blood glucose (82948) | $8.58 | $15.06 | 1.7× |
| Renin activity plasma (84244) | $73.45 | $128.86 | 3.3× |
| Respiratory viral panel PCR (87633) | $1,614.27 | $2,832.06 | 3.9× |
| Respiratory Virus (86756) | $59.51 | $104.40 | 3.7× |
| Rheumatoid Factor Qual (86430) | $37.20 | $65.26 | 6.1× |
| Rheumatoid factor quant (86431) | $39.90 | $70 | 7.0× |
| Rickettsia antibody (86757) | $71.44 | $125.33 | 3.7× |
| Rubella antibody (86762) | $55.24 | $96.92 | 3.8× |
| Russell viper venom time diluted (85613) | $117.06 | $205.37 | 12.2× |
| Salicylate (80179) | $10.62 | $18.64 | 0.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $57 | $100 | 1.1× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $38.78 | $68.04 | 0.9× |
| Sed rate automated (85652) | $336.66 | $590.63 | 124.7× |
| Sedimentation rate (85651) | $34.86 | $61.16 | 8.2× |
| Semen analysis sperm presence&/motility sprm (89321) | $48.64 | $85.33 | 4.0× |
| Sensitivity mic (87186) | $61.19 | $107.35 | 7.1× |
| Serotonin Release Assay (86022) | $235.37 | $412.93 | 12.8× |
| Sex hormone binding globulin (84270) | $66.68 | $116.99 | 3.1× |
| Sickle cell screen (85660) | $41.18 | $72.24 | 7.5× |
| Sirolimus (rapamycin) (80195) | $85.50 | $150 | 6.2× |
| Smear acid fast (87206) | $66.69 | $117 | 12.4× |
| Smear gram stain (87205) | $37.89 | $66.47 | 8.9× |
| Sodium (84295) | $28.44 | $49.89 | 5.9× |
| Sodium other source (84302) | $26.03 | $45.67 | 5.4× |
| Sodium urine (84300) | $39.22 | $68.81 | 7.8× |
| Soluble transferrin receptor (84238) | $113.22 | $198.62 | 3.1× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $88.26 | $154.84 | 0.6× |
| Special stains group 1 (88312) | $90.82 | $159.33 | 1.6× |
| Spectrophotometry (84311) | $50.21 | $88.09 | 6.2× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $101.46 | $178 | 0.6× |
| Strep a assay w/optic (87880) | $17.16 | $30.11 | 1.0× |
| Strep a DNA amp probe (87651) | $78.09 | $137 | 2.2× |
| Sugars Multiple Qual (84377) | $24.18 | $42.42 | 4.4× |
| Sulfate urine (84392) | $21.73 | $38.13 | 4.0× |
| Surg path level iii (88304) | $131.52 | $230.73 | 2.4× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $54.92 | $96.35 | 1.8× |
| Surgical pathology level IV (88305) | $174.63 | $306.37 | 3.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $124.55 | $218.50 | 2.7× |
| T3 free (84481) | $93.12 | $163.37 | 5.5× |
| T3 reverse (84482) | $62.90 | $110.34 | 4.0× |
| T3 total (84480) | $78.45 | $137.63 | 5.5× |
| T3 uptake (84479) | $47.73 | $83.73 | 7.4× |
| T4 Free (84439) | $70.21 | $123.18 | 7.8× |
| T4 total (84436) | $52.49 | $92.08 | 7.6× |
| Tb intradermal test (86580) | $10.56 | $18.52 | 0.3× |
| Test for acetone/ketones (82009) | $40.04 | $70.25 | 8.9× |
| Testosterone free (84402) | $95.35 | $167.28 | 3.7× |
| Testosterone total (84403) | $154.66 | $271.34 | 6.0× |
| Theophylline (80198) | $73.10 | $128.25 | 5.2× |
| Thin prep pap (88142) | $50.96 | $89.40 | 2.5× |
| Thrombin time plasma (85670) | $40.81 | $71.60 | 7.1× |
| Thromboplastin Inhibition Tissue (85705) | $61.38 | $107.68 | 6.4× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $51.74 | $90.78 | 8.0× |
| Thyroglobulin (84432) | $66.62 | $116.87 | 4.1× |
| Thyroglobulin Ab (86800) | $132.99 | $233.31 | 8.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $165.89 | $291.04 | 3.3× |
| Thyroxine binding globulin (84442) | $46.49 | $81.57 | 3.1× |
| Tissue culture bone marrow (88237) | $262.32 | $460.21 | 1.8× |
| Tissue Culture Lymphocyte (88230) | $573.33 | $1,005.85 | 4.9× |
| Tissue culture placenta (88235) | $285.14 | $500.24 | 1.9× |
| Tobramycin peak (80200) | $102.60 | $180 | 6.4× |
| Topiramate (80201) | $68.97 | $121 | 5.8× |
| Toxoplasma ab igm (86778) | $59.26 | $103.97 | 4.1× |
| Toxoplasma antibody igg (86777) | $61.68 | $108.21 | 4.3× |
| Transferrin (84466) | $67.48 | $118.39 | 5.3× |
| Triglycerides (84478) | $40.24 | $70.60 | 7.0× |
| Troponin (84484) | $101.92 | $178.81 | 8.2× |
| Trypsin feces qual (84488) | $39.67 | $69.60 | 5.4× |
| Ugt1a1 gene analysis common variants (81350) | $34.14 | $59.89 | 0.1× |
| Urea nitrogen (84520) | $32.17 | $56.44 | 8.1× |
| Urea Nitrogen Clearance (84545) | $36.77 | $64.51 | 5.1× |
| Urea nitrogen urine (84540) | $30.19 | $52.96 | 5.4× |
| Uric acid blood (84550) | $37.30 | $65.43 | 8.3× |
| Uric acid other source (84560) | $36.48 | $64 | 7.2× |
| Urinalysis qual/semiquant except immunoassays (81005) | $20.48 | $35.93 | 9.4× |
| Urinalysis w/microscopic (81001) | $39.33 | $69 | 12.4× |
| Urine pregnancy test (81025) | $20.47 | $35.92 | 2.4× |
| Urine volume measurement (81050) | $76.22 | $133.72 | 20.9× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $21.62 | $37.93 | 9.6× |
| Valproic acid level (80164) | $85.33 | $149.70 | 6.3× |
| Vancomycin trough (80202) | $98.55 | $172.90 | 7.3× |
| Varicella-zoster antibody (86787) | $67.31 | $118.09 | 5.2× |
| Vasopressin (84588) | $83.93 | $147.25 | 2.5× |
| Vdrl csf (86592) | $37.63 | $66.02 | 8.8× |
| Very long chain fatty acids (82726) | $138.72 | $243.37 | 7.0× |
| Virus antibody nos (86790) | $58.32 | $102.32 | 4.5× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $96.90 | $170 | 2.9× |
| Virus inoculation, shell via (87254) | $57.91 | $101.59 | 3.0× |
| Viscosity serum (85810) | $52.61 | $92.29 | 4.5× |
| Vitamin A (84590) | $60.96 | $106.94 | 5.3× |
| Vitamin b-12 (82607) | $76.60 | $134.39 | 5.1× |
| Vitamin b-2 (riboflavin) (84252) | $73.53 | $129 | 3.6× |
| Vitamin b1 (thiamine) (84425) | $75.06 | $131.68 | 3.5× |
| Vitamin b6 (84207) | $106.12 | $186.17 | 3.8× |
| Vitamin C (82180) | $44.48 | $78.02 | 4.5× |
| Vitamin D 25-Hydroxy (82306) | $111.15 | $195 | 3.8× |
| Vitamin e serum (84446) | $60.03 | $105.31 | 4.2× |
| Von willebrand factor activity (85245) | $90.50 | $158.77 | 3.9× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $59.04 | $103.57 | 6.9× |
| West nile virus ab, igm (86788) | $119.24 | $209.20 | 7.1× |
| Zinc (84630) | $54.63 | $95.84 | 4.8× |